| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
981 |
958 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
253 |
231 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
691 |
690 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
408 |
401 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
155 |
155 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
56 |
$1K |
| 99051 |
|
42 |
42 |
$695.52 |
| 0071A |
|
15 |
15 |
$688.20 |
| 0081A |
|
15 |
15 |
$688.20 |
| 90461 |
|
12 |
12 |
$364.08 |
| 96127 |
|
28 |
27 |
$308.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$218.70 |
| 85018 |
|
25 |
25 |
$52.25 |
| 99000 |
|
29 |
29 |
$34.00 |